Individual
ADDIE L JUPITER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RAS
Contact information
Practice address
3024 WILLOW PASS RD, CONCORD, CA 94519-2588
(925) 363-5000
Mailing address
545 SUNNYVIEW DR. # 103, PINOLE, CA 94564
(510) 724-2434
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
CA
Other
Enumeration date
05/04/2007
Last updated
07/08/2007
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